Page 1 of 3

X Food Service Establishment
    Retail Food Store
    Temporary
    Mobile
KANKAKEE COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH
2390 W. STATION STREET
KANKAKEE, IL 60901
(815) 802-9410, (815) 802-9411 (FAX)

FOOD SERVICE SANITARY INSPECTION REPORT
 Establishment #   SA003  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  CASEY'S GENERAL STORE #2217 Address  110 S DIXIE HWY
Owner or Operator   CASEY'S RETAIL COMPANY City   ST. ANNE Zip Code   60964
 
ITEM
X
WT
DESCRIPTION
ITEM
X
WT
DESCRIPTION
ITEM
X
WT
DESCRIPTION
 
FOOD
18
 
1
 Pre-flushed, scraped, soaked
34
X
1
 Outside storage area, enclosures properly constructed, clean: controlled incineration
*1
  
5
 Source, Wholesome, No Spoilage
19
  
2
 Wash, rinse after: clean, proper temperature
2
  
1
 Original Container, Properly Labeled
*20
X
4
 Sanitization rinse: Clean, temperature, concentration   INSECT, RODENT ANIMAL CONTROL
 
FOOD PROTECTION
*35
  
4
 Presence of insects/rodents - outer openings protected; no birds, turtles, or other animals
*3
  
5
 Potentially hazardous food meets temperature requirements during storage, preparation, display, service and transportation
21
  
1
 Wiping cloths: clean, use restricted
22
  
2
 Food contact surfaces of equipment and utensils clean, free of abrasives and detergents  
FLOORS WALLS AND CEILINGS
36
X
1
 Floor: constructed, drained, clean, good repair, covering installation, dustless cleaning methods
*4
  
4
 Facilities to maintain product temperature
23
X
1
 Non-food contact surfaces of equipment and utensils clean
5
X
1
 Thermometers provided and conspicuous
37
X
1
 Walls, ceiling, attached equipment: constructed good repair, clean surfaces, dustless cleaning methods
6
 
2
 Potentially hazardous food properly thawed
24
  
1
 Storage, handling of clean equipment utensils
*7
  
4
 Unwrapped and potentially hazardous food not re-served, Cross Contamination
25
X
1
 Single-service articles, storage, dispensing  
LIGHTING
26
  
2
 No re-use of single-service articles
38
  
1
 Lighting provided as required - Fixtures shielded
8
X
2
 Food protection during storage, preparation, display, service and transportation  
WATER
  
VENTILATION
*27
 
5
 Water source, safe: Hot and cold under pressure
39
  
1
 Rooms and equipment - vented as required
9
  
2
 Handling of food(ice) minimized, methods  
SEWAGE
  
DRESSING ROOMS
10
  
1
 Food(ice) dispensing utensils properly stored
*28
  
4
 Sewage and waste water disposal
40
  
1
 Rooms clean, lockers provided, facilities clean
 
PERSONNEL
  
PLUMBING
  
OTHER OPERATIONS
*11
  
5
 Personnel with infections restricted
29
  
1
 Installed, maintained
*41
X
5
 Toxic items properly stored, labeled and used
*12
  
5
 Hands washed and clean, good hygienic practices
*30
 
5
 Cross-connection, back siphonage-backflow
42
  
1
 Premises: maintained, free of litter, unnecessary articles, cleaning/maintenance equipment properly stored, authorized personnel
13
  
1
Clean clothes, hair restraints
  
TOILET AND HAND-WASHING FACILITIES
 
FOOD EQUIPMENT AND UTENSILS
14
  
2
 Food (ice) contact surfaces: designed, constructed, maintained, installed, located
*31
  
4
 Number, convenient, accessible, designed, installed
43
  
1
 Complete separation from living/sleeping quarters, laundry
32
 
2
 Toilet rooms enclosed, self-closing doors, fixtures, good repair, clean: Hand cleanser, sanitary towels/hand drying devices provided. Proper waste receptacles, tissue
15
  
1
 Non-food (ice) contact surfaces: designed, constructed, maintained, installed, located.
44
  
1
 Clean, soiled linen properly stored
 
CERTIFIED PERSONNEL
16
  
2
 Dishwashing facilities: designed, constructed, maintained, installed, located, operated
*45
     Management personnel certified Yes     No     Registered for class    
 
GARBAGE AND REFUSE DIPSOSAL
17
  
1
 Accurate thermometers, chemical test kits provided, gauge cook
33
  
2
 Containers or receptacles covered: adequate number, insect/rodent proof, frequency, clean
 
      
Sanitizer Requirement:  Chemical   QUAT 200-400 ppm                   Dishwasher Temperature   NA °F or label
Food Temperatures:   PREP COOLER 1 <41 PREP COOLER 2 <41 WALK-IN 1 <41 WALK-IN 2 <41 WALK-IN 3 <41 FREEZERS ALL HOLDING FROZEN
 
General Comments
HACCP: USING QUAT SANITIZER IN WATER BETWEEN THE TEMPERATURES OF 65-75 DEGREES ENSURES THAT THE SANITIER WORKS PROPERLY AND MAINTAINS ITS SANITIZING CAPABILITY. 
Report and Instructions Received By   /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/17/2018 Time In  1:50 PM Time Out  3:00 PM Sanitation Score  83 (100 Minus Demerits)
By  Ryan Wheeler (Sanitarian) Adjusted Score  92  
 
Page 2 of 3

    Food Service Establishment
    Retail Food Store
    Temporary
    Mobile
KANKAKEE COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH
2390 W. STATION STREET
KANKAKEE, IL 60901
(815) 802-9410, (815) 802-9411 (FAX)

FOOD SERVICE SANITARY INSPECTION REPORT
 Establishment #   SA003  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CASEY'S GENERAL STORE #2217 Address  110 S DIXIE HWY
Owner or Operator   CASEY'S RETAIL COMPANY City   ST. ANNE Zip Code   60964
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*20  Observed the sanitizer solution to be too weak at the following location(s)
1.SANITIZER AT THREE-BAY SINK FOUND TO BE WEAK LIKELY DUE TO THE HIGH TEMPERATURE OF THE WATER
Provide for the sanitizer solution to be mixed to the appropriate leveel for the type of sanitizer being used		 Immediate/Onsite
*41  1. SANITIZER FOUND TO BE STORED ALONG SIDE SINGLE SERVICE ARTICLES.
2. CHEMICALS FOUND TO NOT BE PROPERLY LABELED.
ENSURE CHEMICALS ARE STORED TO PROTECT FOOD AND FOD RELATED ITEMS AND ARE LABELED PROPERLY.		 Immediate/Onsite
2  NOTE: ENSURE ALL ITEMS REMOVED FROM ORIGINAL CONTAINERS THAT ARE NOT OBVIOUSLY RECOGNIZABLE ARE APPROPRIATELY LABELED Next Inspection
5  Observed no thermometer to be available in the following units
1.PREP COOLER NEEDS THERMOMETER
Provide for an accurate, conspicuous thermometer, that is accurate within +/- 3°F, to be available in all units holding potentially hazardous foods		 Next Inspection
8  Observed the following food products to be improperly stored
1. FOOD IN FREEZER STORED ON FLOOR
Provide for all food products to be stored at least six inches off of the floor		 Next Inspection
23  Observed the following contact surfaces to be unclean
1. DRAWERS, SHELVES, COOLERS AND OTHER SURFACES NEED CLEANED AND MAINTAINED.
Clean and maintain		 Next Inspection
25  Observed the following single service articles to be improperly stored:
1.SINGLE SERVICE ARTICLES IN BACK ROOM STORED ON FLOOR, SHOULD BE SIX INCHES OFF THE FLOOR.
2.SINGLE SERVICE ARTICLE IN KITCHEN STORED ON FLOOR
3. SINGLE SERVICE ARTICLES IN KITCHEN STORED BELOW SINK/PLUMBING.
FOOD AND FOOD RELATED ITEMS SHOULD NOT BE STORED BELOW OPEN PLUMBING.		 Next Inspection
34  Observed the dumpster area to be unclean
Provide for the dumpster area to be kept clean so as to not be an attractive nuisance		 Next Inspection
36  Observed the following floor areas to be unclean: ENSURE FLOORS AREA CLEANED, SPECIAL ATTENTION TO BELOW SHELVES AND EQUIPMENT.
Provide for all flooring areas to be in a clean condition		 Next Inspection
37  Observed the following wall/ceilings, and attached equipment to be unclean:
1.INTAKE VENTS ON COOLER VENTS IN WLAK-IN COOLERS NEED CLEANED
2.HOOD NEEDS CLEANED OF DUST AND GREASE THAT MAY DRIP INTO FOOD
Provide for all walls, ceilings, and attached equipment to be in a clean condition		 Next Inspection
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/17/2018 Time In  1:50 PM Time Out  3:00 PM Sanitation Score  83 (100 Minus Demerits)
By  Ryan Wheeler (Sanitarian) Adjusted Score  92  
 
Page 3 of 3

    Food Service Establishment
    Retail Food Store
    Temporary
    Mobile
KANKAKEE COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH
2390 W. STATION STREET
KANKAKEE, IL 60901
(815) 802-9410, (815) 802-9411 (FAX)

FOOD SERVICE SANITARY INSPECTION REPORT
 Establishment #   SA003  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CASEY'S GENERAL STORE #2217 Address  110 S DIXIE HWY
Owner or Operator   CASEY'S RETAIL COMPANY City   ST. ANNE Zip Code   60964
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
Report and Instructions Received By   /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/17/2018 Time In  1:50 PM Time Out  3:00 PM Sanitation Score  83 (100 Minus Demerits)
By  Ryan Wheeler (Sanitarian) Adjusted Score  92